Healthcare Provider Details

I. General information

NPI: 1669642294
Provider Name (Legal Business Name): MAX CARE HOME HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2008
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 W LAKE ST UNIT 3
ROSELLE IL
60172-3551
US

IV. Provider business mailing address

490 W LAKE ST UNIT 3
ROSELLE IL
60172-3551
US

V. Phone/Fax

Practice location:
  • Phone: 630-833-2910
  • Fax: 866-656-1698
Mailing address:
  • Phone: 630-833-2910
  • Fax: 866-656-1698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateIL

VIII. Authorized Official

Name: MS. NOOR FATIMA HUSAIN
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 630-833-2910